CT head without contrast at UPMC Williamsport. CPT 70450.
What UPMC Williamsport publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,603cash price (self-pay)
$2,671list price
$99.20–$2,137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $99.20 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $102 |
| UPMC Health Plan | Managed Medicare | $103 |
| AmeriHealth Caritas | Medicare | $104 |
| United Healthcare | Medicare | $108 |
| Highmark Wholecare (prev Gateway) | Medicare | $109 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $109 |
| Geisinger | Medicaid/CHIP | $128 |
| UPMC Health Plan | CHIP | $128 |
| UPMC Health Plan | Managed Medicaid | $128 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $132 |
| Highmark Wholecare (prev Gateway) | Medicaid | $164 |
| PA Health & Wellness | PA Medicaid HMO | $199 |
| UPMC Work Partners | Workers Comp | $568 |
| Three Rivers Provider Network | All | $608 |
| Multiplan | Worker's Compensation | $628 |
| Aetna | Medicare | $721 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,063 |
| Aetna | PEBTF Custom Network | $1,083 |
| UPMC Health Plan | Commercial | $1,165 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,252 |
| Aetna | Commercial | $1,274 |
| Coventry/First Health | Commercial | $1,338 |
| Wirerope Works | Commercial | $1,485 |
| Aetna | First Health | $1,763 |
| Geisinger | Commercial | $1,790 |
| Coventry/First Health | FH-Medical Rental | $1,798 |
| United Healthcare | Commercial | $1,827 |
| Cigna | Commercial | $1,830 |
| Multiplan | Auto | $2,083 |
Inpatient
$1,603cash price (self-pay)
$2,671list price
$1,144–$2,404range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | PEBTF Custom Network | $1,144 |
| Aetna | Commercial | $1,346 |
| Coventry/First Health | Commercial | $1,413 |
| Wirerope Works | Commercial | $1,485 |
| Aetna | First Health | $1,763 |
| Coventry/First Health | FH-Medical Rental | $1,798 |
| United Healthcare | Commercial | $1,827 |
| Cigna | Commercial | $1,830 |
| Multiplan | Auto | $2,083 |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,083 |
| America's Choice | PPO | $2,137 |
| InterGroup | PPO | $2,137 |
| Three Rivers Provider Network | All | $2,404 |
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